Provider Demographics
NPI:1285887885
Name:MERINO, ANGELA LANE (LMFT)
Entity type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:LANE
Last Name:MERINO
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2238 MONTE VISTA AVE
Mailing Address - Street 2:
Mailing Address - City:OROVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95966-6956
Mailing Address - Country:US
Mailing Address - Phone:530-370-5247
Mailing Address - Fax:530-534-7126
Practice Address - Street 1:2238 MONTE VISTA AVE
Practice Address - Street 2:
Practice Address - City:OROVILLE
Practice Address - State:CA
Practice Address - Zip Code:95966-6956
Practice Address - Country:US
Practice Address - Phone:530-712-3499
Practice Address - Fax:530-534-7126
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-28
Last Update Date:2020-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT119390101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional